|Department of Public Health & Preventive Medicine:||
Rashtriya Bal Swasthya Karyakram (RBSK)
In Tamilnadu, for the past 3 decades, i.e. since 1962, the school health programme was implemented by the Department of Public Health & Preventive Medicine for providing comprehensive health care services for the school children studying in 1st to 12th standard of Govt and Govt aided school. On Thursdays, health screening was done for all the school children to identify minor’s ailments, nutritional deficiencies, refractive errors and any other systemic illnesses. Minors ailments were treated on the spot by the PHC level health team and the Children with major illnesses were referred to higher medical Institutions for further Management. Under this Programme, two nodal teachers from each school were identified and they were trained in identifying common illness among children, providing assistance for the school health team and also to follow the referred children.
During 2010-2012, the school health programme had been modified and renamed as “Modified School health Programme”. The new initiatives under modified school health programme had been included as
– Co-ordination between health & Education Department
– Comprehensive health education using a modified syllabus based on the School Total Health Programme.
–` Primary screening by teachers.
– Emergency care / first aid management at school
– Counselling services for the teenage students.
– Human resources management and capacity building.
During 2014, Government of India has initiated a new programme called Rashtriya Bal Swasthya Karyakram (RBSK) – “Child health screening and Early intervention services programme” under National Rural Health Mission and the programme aims at early detection and management of the 4D’s – Defects at birth, Deficiencies, Diseases and Developmental delays including disabilities along with Adolescent health concerns (38 health condition) among children.
Many schemes and components carried out under School Health Programme (SHP) in Tamilnadu namely modified school Health programme Correction of Refractive Errors (Kannoli Kaapom Thittam), Comprehensive school children Dental programme, congenital Defects programme and various other NGO schemes had been merged under RBSK.
To facilitate health screening, each community block is provided with 2 Mobile health teams. Each team consist of 1- Medical officers (One team with 1-Male Medical officer and another team with 1 – Female medical officer), 1- Staff nurse and 1- Pharmacist with computer skills. The children in the block will be screened for 4D’s+A (38 conditions). Minor ailments will be treated on the spot.
The children with identified conditions will be referred to the District early intervention centres (DEIC) for confirmation and further management.
The District Early Intervention Centres (DEIC) is placed at all District Head Quarters Hospital / Medical college Hospitals which are having varied medical & paramedical professionals to manage the referred children. The RBSK scheme is funded by National Health Mission.
SCHOOL HEALTH PROGRAMME PHYSICAL ACHIEVEMENTS (2010-2015)
RBSK Performance in Tamilnadu